| Array Primary Care | |
|
1821 S Fm 51 Decatur TX 76234-3715 | |
| (940) 233-6929 | |
| Not Available |
| Full Name | Array Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1821 S Fm 51, Decatur, Texas |
| Authorized Official Name and Position | Charles Tibbels (OWNER) |
| Authorized Official Contact | 9402336929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Array Primary Care 1821 S Fm 51 Decatur TX 76234-3715 | Array Primary Care 1821 S Fm 51 Decatur TX 76234-3715 Ph: (940) 233-6929 |
| NPI Number | 1821850629 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 06/12/2025 |
| Certification Date | 06/12/2025 |
| Medicare PECOS PAC ID | 6103263991 |
|---|---|
| Medicare Enrollment ID | O20240328002990 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821850629 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Charles K Tibbels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871569632 PECOS PAC ID: 9234176314 Enrollment ID: I20050411000514 |
| Provider Name | Johnathan Joel Swofford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881105559 PECOS PAC ID: 9133487366 Enrollment ID: I20171218001056 |
| Provider Name | Cameron Boyers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285200097 PECOS PAC ID: 3375078967 Enrollment ID: I20241119003512 |
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